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1740942374
ELIZABETH ERIN SUMNER BALLANTYNE
SANTA CRUZ, CA
NPI
1740942374
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 80094)
Enumeration Date
2021-10-11
Last Update Date
2021-10-11
Business Address
ELIZABETH ERIN SUMNER BALLANTYNE MFT
2025 SOQUEL AVE
SANTA CRUZ, CA 95062-1323
Phone number: 831-458-5555
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Mailing Address
ELIZABETH ERIN SUMNER BALLANTYNE MFT
131 EL SERENO DR
SCOTTS VALLEY, CA 95066-4703
Phone number: 510-918-2536
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